Individual
MRS. SARAH ELIZABETH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4531 SE BELMONT, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-3626
Mailing address
4531 SE BELMONT, PORTLAND, OR 97215
(503) 215-3626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0899
OR
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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